Local community organizations served as knowledge brokers to: • provide resources such as technical assistance,
training, incentives, and peer support; Sleet et al.10 have highlighted the importance of following the rigorous public health model in older adult fall prevention programs, in which a lynchpin to successfully reducing older adult falls is the utilization of RCT-tested interventions in program delivery. The Tai Ji Quan program used by Fink and Houston9 meets these criteria, and its multi-ethnic applicability makes it especially appealing. It is equally important for rigorous falls screening to occur within healthcare provider settings to triage and refer older adults to an appropriate community-based program like Tai Ji Quan. The Centers for Enzalutamide manufacturer Disease Control and Prevention developed the Stopping Elderly
Accidents, Deaths, and Injuries toolkit to foster this screening, treatment, and referral.11 Among the many benefits of this approach is that it can help integrate clinical medicine and public health and assure improved patient outcomes. It can also provide substantial cost savings to society. In evaluating this website the impact of efforts to translate, disseminate, and implement evidence-based fall prevention programs, more attention to research models such as RE-AIM12 and 13 might be considered. RE-AIM can help measure a program’s reach in the target population, efficacy and effectiveness of the implementation/dissemination strategies, extent of the adoption by the target audience, consistency and fidelity of intervention delivery, and elements necessary for maintenance. Glasgow and colleagues14 have already demonstrated that RE-AIM can
be used successfully in a low-income community for weight loss and hypertension self-management. Translation research like this can also help identify characteristics of the implementation process that are critical to assure uptake, adoption, and maintenance of fall prevention behaviors embedded in programs such as Tai Ji Quan. This is an encouraging step forward. The findings and conclusions in this report are those of the author and do not necessarily represent the official position of the Centers for Disease Control Sitaxentan and Prevention. “
“The article by Fink and Houston1 in this special issue of Journal of Sport and Health Science provides an excellent example of implementing an evidence-based fall prevention program in real communities with diverse cultures of elderly populations. Although preliminary, the project revealed a number of interconnected barriers and facilitators that shed light on practical implications (“lessons learned”) for policymakers and program providers regarding implementation of any evidence-based intervention.